Facebook Pixel
Brookbush Institute Logo
Therapeutic Interventions and Manual Techniques
Active versus Passive: Is Exercise more Effective than Manual Therapy?

Active versus Passive: Is Exercise more Effective than Manual Therapy?

Recently, the phrase "active is better than passive" has been published in articles, memes, and thrown around in chat boards as if it's some undeniable truth. But I am not sure how this myth got started. There is absolutely no support in the research for this statement.  So, let's start by stating the facts. Based on the available research, active interventions are NOT better than passive interventions. 

False Narratives, Nocebo, and Negative Expectations do NOT affect Manual Therapy Outcomes: Research Confirmed

False Narratives, Nocebo, and Negative Expectations do NOT affect Manual Therapy Outcomes: Research Confirmed

Research Confirmed: Messaging, expectations, and treatment preference may have an inconsistent effect on the perception of pain induced by a manual therapy technique (e.g. how painful an acupuncture needle feels), but no significant effect on post-treatment outcome measures (e.g. pain during motion or functional outcome measure scores). Further, stress and catastrophizing are unlikely to have a significant effect on outcomes; however, it may be advised that joint manipulations are not performed when stress/catastrophizing is high. Stress is likely to be highest during session 1 and decrease with subsequent sessions, and matching a patient's assessment findings to the best treatment option significantly improves outcomes, regardless of expectations.

Pain Neuroscience Education (PNE) is Relatively Ineffective: Research Confirmed

Pain Neuroscience Education (PNE) is Relatively Ineffective: Research Confirmed

Research Summary Statement: The randomized controlled trials (RCTs) available that compare pain neuroscience education (PNE) to other interventions imply that PNE is unlikely to be more effective than biomedical education, and is unlikely to result in additional benefit when added to supervised manual therapy, exercise, and/or the combination of other effective interventions. Further, the addition of manual therapy and exercise to PNE reliably results in significant improvement in patient outcomes, implying that PNE alone cannot be considered an optimal treatment approach. The addition of PNE to a home exercise program may enhance patient outcomes (perhaps due to enhanced effort and compliance during exercise). Last, PNE does reliably improve Tampa Scale of Kinesiophobia (TSK) scores; however, the validity of this finding and/or correlation with other recovery outcome measures is questionable. 

Myths About Sacroiliac Joint (SIJ) Motion, Palpation, Assessment, and Treatment

Myths About Sacroiliac Joint (SIJ) Motion, Palpation, Assessment, and Treatment

Myths About Sacroiliac Joint (SIJ) Motion, Palpation, Assessment, and Treatment

View More
Strength and Athletic Performance
Are Olympic Lifts the Best Choice for Power Development?

Are Olympic Lifts the Best Choice for Power Development?

Discover the advantages and disadvantages of Olympic lifts for power development in this in-depth article. Make the right choices for your training regimen!

Circuit Training for Hypertrophy, Strength, and Power?

Circuit Training for Hypertrophy, Strength, and Power?

Discover how circuit training can help you achieve muscle hypertrophy, strength, and power in just a few weeks. Read more to find out the best circuits for your fitness goals!

Squat Depth Recommendations

Squat Depth Recommendations

"Squat deep" is probably the most over-rated cue in the history of fitness and performance training! "Ass to Grass" has become the battle cry of every self-proclaimed "strength coach", but research does not imply this is ideal for everyone. What is the evidence-based recommendation for squat range of motion?

Stop Calling Deadlifts a Back Exercise

Stop Calling Deadlifts a Back Exercise

Stop calling deadlifts a "back exercise." Your traps, deltoids, and lats have NEVER contributed to hip extension. Mislabeling deadlifts affects whether this exercise should be programmed on a lower-body day or upper-body day, and the wrong choice could be costing you gains.

View More
Certification and Accreditation
How Much Does a Personal Training Certification Cost (Including Hidden Fees)?

How Much Does a Personal Training Certification Cost (Including Hidden Fees)?

This article will help you choose the right certification by sharing all of the associated costs of the most popular certified personal trainer (CPT) certifications in the fitness industry. This includes the full upfront certification price, hidden fees, and post-purchase costs. We have included as many links as we can to cite where we found this information, but we also dug much deeper.

Cost Comparison: Top Corrective Exercise Certification Programs

Cost Comparison: Top Corrective Exercise Certification Programs

In our effort to provide a transparent and comprehensive cost comparison of corrective exercise programs, we have meticulously compiled and compared prices from various competitors. To ensure accuracy, we have included the lowest available prices from each competitor's website and provided direct hyperlinks to the relevant pages. This allows you to verify the information yourself.

The "Real Cost" of Manual Therapy Certifications

The "Real Cost" of Manual Therapy Certifications

Discover the hidden financial impact of obtaining manual therapy certifications. This article explores the "real cost" of pursuing advanced credentials in the field.

The Best Personal Training Certification?

The Best Personal Training Certification?

There are so many problems with the personal training certifications on the market: high prices, poorly taught (or boring) exercise science courses, misleading and/or incorrect information, formats that prevent learning on the go, hidden fees, etc... All of this must make fitness professionals feel like they are trying to choose the right personal trainer certification by selecting the least bad option.

View More
Research Corner
Anatomy of the Hip Capsule and Muscular Attachments

Anatomy of the Hip Capsule and Muscular Attachments

Discover the intricate anatomy of the hip capsule and its various muscular attachments in this informative article. Gain a better understanding of the mechanics of the hip joint and its role in movement.

Sensory Innervation of the Ankle Joint

Sensory Innervation of the Ankle Joint

Discover the importance of sensory innervation in the ankle joint, including how it affects movement and stability. Learn more with this informative guide.

Arm Weights and Increased Cadence Improve Activation of Posterior Oblique Subsystem

Arm Weights and Increased Cadence Improve Activation of Posterior Oblique Subsystem

Learn how arm weights and increased cadence can enhance activation of the posterior oblique subsystem and improve your overall athletic performance.

Comparing Upper and Lower Serratus Anterior Activation in Different Manual Muscle Testing Positions

Comparing Upper and Lower Serratus Anterior Activation in Different Manual Muscle Testing Positions

"Discover the difference in activation of the upper and lower serratus anterior muscles in various muscle testing positions. Improve your understanding of muscle biomechanics and targeted training strategies."

View More
Anatomy
Kinesiology of the Ankle

Kinesiology of the Ankle

Discover the fascinating kinesiology of the ankle that governs our movements and keeps us stable. Learn the structure, functions and common injuries of this vital joint.

Kinesiology of the Elbow

Kinesiology of the Elbow

Learn about the intricate workings of the elbow joint with our comprehensive guide to the kinesiology of the elbow. Improve your understanding of its essential movements and prevent common injuries.

Kinesiology of the Hip

Kinesiology of the Hip

Explore the intricate workings of the hip joint with our comprehensive guide on the Kinesiology of the Hip. Learn about its muscles, movements, and potential injuries.

Kinesiology of the Knee

Kinesiology of the Knee

Discover the kinesiology of the knee in our comprehensive guide. From joint movements to muscle activation, learn about the fascinating anatomy of this crucial joint.

View More
Assessment
Manual Muscle Testing: Introduction

Manual Muscle Testing: Introduction

Learn about the basics of Manual Muscle Testing (MMT) from our comprehensive guide. Discover the importance and benefits of MMT in therapy and rehabilitation.

Goniometry: Introduction

Goniometry: Introduction

Learn about the basics of goniometry, a fundamental technique in assessing joint range of motion. Discover its benefits and applications in this guide.

Special Tests: Introduction

Special Tests: Introduction

Discover the importance of special tests for athletes in this introduction. Learn how these tests can identify specific areas to improve performance and prevent injury.

View More
Corrective Exercise
Introduction to Activation Exercise

Introduction to Activation Exercise

Learn about the benefits of activation exercise, designed to prime your muscles for a workout. Discover techniques and tips to get started today!

Overactive Synergists Cheat Sheet

Overactive Synergists Cheat Sheet

Discover how to identify and correct overactive synergists with our helpful Cheat Sheet. Improve your workouts and reduce your risk of injury today!

Adductors: Release and Lengthening

Adductors: Release and Lengthening

Get relief from tight and overworked hip adductors with these easy release and lengthening techniques. Improve mobility and decrease pain!

Guidelines for Self-Administered Release Techniques

Guidelines for Self-Administered Release Techniques

Discover the best tips and techniques for self-administered release in our comprehensive guide. Learn how to reduce stress and improve your overall well-being today!

View More
Critical Review
Critical Review of "Anthropometrical Considerations for Customizing the Squat Pattern"

Critical Review of "Anthropometrical Considerations for Customizing the Squat Pattern"

In this critical review of "Anthropometrical Considerations for Customizing the Squat Pattern", we delve deep into the intricacies of squatting and analyze the study's key findings.

Critique of "A Critical Evaluation of the Trigger Point Phenomenon"

Critique of "A Critical Evaluation of the Trigger Point Phenomenon"

Explore the shortcomings and inconsistencies of "A Critical Evaluation of the Trigger Point Phenomenon" in this insightful critique. Discover the true nature and significance of trigger points.

View More
Op/Ed
Just because you're right, doesn't mean I'm wrong

Just because you're right, doesn't mean I'm wrong

Explore the idea that differing perspectives can both be correct in our latest article, "Just because you're right, doesn't mean I'm wrong." Discover ways to bridge disagreements and achieve compromise.

Quotes That Inspire

Quotes That Inspire

Discover powerful and inspiring quotes that will motivate you to achieve greatness. From Winston Churchill to Maya Angelou, find the perfect quote to inspire you today.

View More
Postural Dysfunction & Movement Impairment
Introduction to Postural Dysfunction and Movement Impairment

Introduction to Postural Dysfunction and Movement Impairment

Learn about postural dysfunction and movement impairment in this informative article. Discover the causes, symptoms, and treatments for these common conditions.

Lower Leg Corrective Exercise and Sample Routine

Lower Leg Corrective Exercise and Sample Routine

If you're looking to prevent lower leg injury and improve mobility, check out our sample corrective exercise routine. Get ready to strengthen those stabilizing muscles!

Lumbo Pelvic Hip Complex Corrective Exercise and Sample Routine

Lumbo Pelvic Hip Complex Corrective Exercise and Sample Routine

Learn about Lumbo Pelvic Hip Complex Corrective Exercise and how to incorporate it into your workout routine. Check out our sample workout for maximum benefit!

Sacroiliac Joint Dysfunction Corrective Exercise and Sample Routine

Sacroiliac Joint Dysfunction Corrective Exercise and Sample Routine

Learn how to correct sacroiliac joint dysfunction with this sample exercise routine. Relieve pain and improve mobility with these targeted exercises.

View More
Q & A
“Adduction” vs. “Horizontal Adduction”

“Adduction” vs. “Horizontal Adduction”

Discover the key differences between adduction and horizontal adduction. Find out which exercise is best for you and improve your workouts today.

Ankle and Wrist Weights for Weight Loss

Ankle and Wrist Weights for Weight Loss

Discover how ankle and wrist weights can supercharge your weight loss journey! Learn how to use them effectively for maximum results.

Breathing During a Crunch

Breathing During a Crunch

Master the art of breathing during crunches to maximize your workout potential and avoid injury. Our expert guide will show you how.

Does your blood get thicker in the cold, and does that have an effect on my cardiovascular performance?

Does your blood get thicker in the cold, and does that have an effect on my cardiovascular performance?

Find out if your blood gets thicker in cold temperatures and how it affects your cardiovascular system. Learn how to stay healthy in the winter months.

View More
Questionable Exercises
Introduction

Introduction

to Social Media Marketing Learn the essentials of social media marketing in this comprehensive guide. Discover how to create engaging content, build your brand, and increase reach on popular platforms like Facebook, Twitter, and Instagram.

Kettle Bell Windmills

Kettle Bell Windmills

"Learn how to perfect your form and target your core with kettle bell windmills. Our guide breaks down the steps for a safe and effective workout."

Lat Pull Down

Lat Pull Down

Learn how to properly perform a lat pull down exercise to target your back muscles. Discover techniques, variations, and tips for maximizing your workout.

Leg Curls and Extensions

Leg Curls and Extensions

Learn everything you need to know about leg curls and extensions, including their benefits, how to do them properly, and which muscles they target.

View More
Strength Training
Asymmetrical Weight Shift (Left) & the Novice Client

Asymmetrical Weight Shift (Left) & the Novice Client

Discover how to address the problem of asymmetrical weight shift in novice clients. Learn simple exercises and techniques to improve their form and prevent injury.

Lower-Leg Dysfunction and the Recreational Athlete

Lower-Leg Dysfunction and the Recreational Athlete

Learn how to prevent lower-leg dysfunction in recreational athletes through proper warmup, stretching, and strength-training exercises. Read more here.

LPHC Dysfunction and Weight Loss

LPHC Dysfunction and Weight Loss

Discover the relationship between LPHC dysfunction and weight loss with our expert guide. Learn how to improve posture, reduce pain, and reach your weight goals.

Upper Body Dysfunction and the Beach Body

Upper Body Dysfunction and the Beach Body

Discover how to overcome upper body dysfunction and achieve your dream beach body! Our expert tips and exercises will help you sculpt and tone your upper body.

View More